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Derral Bomar
NPI 1912483751 · Case Manager/Care Coordinator · Lake City, FL
Derral Bomar is a Case Manager/Care Coordinator provider in Lake City, FL (NPI 1912483751).
Provider details
- NPI number
- 1912483751
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
439 Sw Michigan St
Lake City, FL 32025-0440
Phone: (352) 374-5600
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Sw 13th St
Gainesville, FL 32608-4006
Registry dates
- Enumerated
- 2018-07-16
- Last updated
- 2018-07-16
Frequently asked questions
- What is Derral Bomar's NPI number?
- Derral Bomar's National Provider Identifier (NPI) is 1912483751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derral Bomar's specialty?
- Derral Bomar is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Derral Bomar located?
- Derral Bomar's practice location on file with NPPES is 439 Sw Michigan St, Lake City, FL 32025-0440.
- What is Derral Bomar's phone number?
- The practice phone number listed in the NPPES registry for Derral Bomar is (352) 374-5600.
- Is Derral Bomar's NPI active?
- Yes — Derral Bomar's NPI (1912483751) is active in the NPPES registry as of the last update on 2018-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.